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 CASE REPORT
Year : 2004  |  Volume : 50  |  Issue : 3  |  Page : 195-196

Remission of HIV-associated myelopathy after highly active antiretroviral therapy


1 Departments of Internal Medicine, Complexo Hospitalario Universitario Xeral-Cíes, Vigo, Spain
2 Departments of Radiology, Complexo Hospitalario Universitario Xeral-Cíes, Vigo, Spain

Correspondence Address:
F J Fernandez-Fernandez
Departments of Internal Medicine, Complexo Hospitalario Universitario Xeral-Cíes, Vigo
Spain
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Source of Support: None, Conflict of Interest: None


PMID: 15377804

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HIV-associated myelopathy is the leading cause of spinal cord disease in HIV-infected patients. Typically, it affects individuals with low CD4 T cell counts, presenting with slowly progressive spastic paraparesis associated with dorsal column sensory loss as well as urinary disturbances. Other aetiologies must be first ruled out before establishing the diagnosis. We report here the case of a 37-year-old woman with advanced HIV disease, who developed HIV-associated myelopathy. The patient showed a gradual improvement after beginning with highly active antiretroviral therapy and, finally, she achieved a complete functional recovery. In addition, neuroimaging and neurophysiological tests normalized.






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Online since 12th February '04
© 2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
Published by Wolters Kluwer - Medknow